Is the Rate of Early Mobilisation in Hip Fracture Patients Using Alfentanil Better Than Standard Opioid Analgesia?
NCT06212622 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 64
Last updated 2024-12-06
Summary
Hip fracture injuries are linked with increased morbidity, frailty, and mortality risk. Studies have shown that in hip fracture surgery, early mobilisation confers better pain control, 30-day complication and mortality rates and could reduce in hospital length of stay.
Though early mobilisation may provide numerous post operative benefits, there are barriers to achieving this reliably and effectively. One such difficulty is pain.
In the Royal Infirmary of Edinburgh (RIE) like many boards across Scotland, oral oxycodone has been routinely used as analgesia to help with post operative pain, in patients who have undergone orthopaedic trauma injuries. However, this analgesic modality is utilised to help with general post operative pain, rather than targeted abolition of pain prior to physiotherapy.
Alfentanil is a relatively new medication which has a very rapid onset of action and short half life. Alfentanil may prove to be a superior form of analgesia for the purpose of encouraging early mobilisation after hip fracture surgery. This study could provide robust evidence for regular use of alfentanil prior to physiotherapy in early post operative hip fracture surgery patients.
Conditions
- Hip Injuries
- Hip Fractures
- Pain
- Post Operative Pain
- Early Ambulation
Interventions
- DRUG
-
Alfentanil
Subcutaneous injection
- DRUG
-
Oxycodone
Oral solution
Sponsors & Collaborators
-
NHS Lothian
lead OTHER_GOV
Principal Investigators
-
Nicholas Clement, MBBS, MD, PhD, FRCS (T&O) · NHS Lothian
Eligibility
- Min Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-03-04
- Primary Completion
- 2024-06-18
- Completion
- 2024-07-18
- FDA Drug
- Yes
Countries
- United Kingdom
Study Locations
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